FORM 1023-EZ for PARK BENCH MINISTRY

Field Data
EIN 82-0731708
Case Number EO-2017103-000322
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PARK BENCH MINISTRY
Organization’s Mailing Address 195 EAST 2ND STREET
City NEW YORK
State NY
ZIP 10009
Accounting period End 12
Primary contact name ROBERT VAZQUEZ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ROBERT VAZQUEZ
PRESIDENT
195 EAST 2ND STREET
NEW YORK NY 10009

Officer/Director/Trustee Two

PATRICK BAZARD
TREASURER
195 EAST 2ND STREET
NEW YORK NY 10009

Officer/Director/Trustee Three

ANYKA JEROME
SECRETARY
195 EAST 2ND STREET
NEW YORK NY 10009

Officer/Director/Trustee Four

BERNICE VAZQUEZ
DIRECTOR
195 EAST 2ND STREET
NEW YORK NY 10009

Officer/Director/Trustee Five

ROSANGEL CRUZ
DIRECTOR
195 EAST 2ND STREET
NEW YORK NY 10009

Organization’s website
Organization’s email NEWLIFE2765@NYC.RR.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/30/2017
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X20 - Christian
Organization’s purpose Charitable: Yes
Religious: Yes
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: No
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee No
Donation of funds No
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance No
One Third Support Public No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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